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1083337109
JACOB DAVID BOURNE-FRAZER
ROCHESTER, NY
NPI
1083337109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-09-23
Last Update Date
2023-07-25
Business Address
JACOB DAVID BOURNE-FRAZER
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606-4200
Phone number: 585-368-6700
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Mailing Address
JACOB DAVID BOURNE-FRAZER
100 PINEWILD DR STE 2A
ROCHESTER, NY 14606-4200
Phone number: 585-368-6700
Copy
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